医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
17期
121-122
,共2页
廖晓焰%周辉%刘星涛%王志强%王小林%王利民%刘丹丹
廖曉燄%週輝%劉星濤%王誌彊%王小林%王利民%劉丹丹
료효염%주휘%류성도%왕지강%왕소림%왕이민%류단단
凶险型前置胎盘%介入治疗%保留子宫
兇險型前置胎盤%介入治療%保留子宮
흉험형전치태반%개입치료%보류자궁
pernicious placenta previa%interventional therapy%uterine preservation
目的：分析凶险型前置胎盘围术期介入治疗的可行性和有效性。方法：对23例凶险型前置胎盘患者剖宫产术前行双侧髂内动脉动脉置管术，术中行暂时性双侧髂内动脉球囊栓塞，术后必要时再行子宫动脉明胶海绵栓塞术。结果：23例成功保留子宫。结论：剖宫产术前双侧髂内动脉置管，术中暂时性双侧髂内动脉球囊栓塞，术后必要时再行子宫动脉明胶海绵栓塞治疗凶险型前置胎盘是一种减少产后出血﹑减少子宫切除率的有效措施，明显改善孕产妇预后。
目的：分析兇險型前置胎盤圍術期介入治療的可行性和有效性。方法：對23例兇險型前置胎盤患者剖宮產術前行雙側髂內動脈動脈置管術，術中行暫時性雙側髂內動脈毬囊栓塞，術後必要時再行子宮動脈明膠海綿栓塞術。結果：23例成功保留子宮。結論：剖宮產術前雙側髂內動脈置管，術中暫時性雙側髂內動脈毬囊栓塞，術後必要時再行子宮動脈明膠海綿栓塞治療兇險型前置胎盤是一種減少產後齣血﹑減少子宮切除率的有效措施，明顯改善孕產婦預後。
목적：분석흉험형전치태반위술기개입치료적가행성화유효성。방법：대23례흉험형전치태반환자부궁산술전행쌍측가내동맥동맥치관술，술중행잠시성쌍측가내동맥구낭전새，술후필요시재행자궁동맥명효해면전새술。결과：23례성공보류자궁。결론：부궁산술전쌍측가내동맥치관，술중잠시성쌍측가내동맥구낭전새，술후필요시재행자궁동맥명효해면전새치료흉험형전치태반시일충감소산후출혈﹑감소자궁절제솔적유효조시，명현개선잉산부예후。
Objective To analyze the feasibility and effectiveness of interventional treatment of pernicious placenta previa during perioperative period. Methods 23 cases of pernicious placenta previa were conducted with preoperative bilateral internal iliac artery intubation and intraoperative temporary bal oon occlusion of bilateral internal iliac artery and postoperative uterine artery embolization with gelatin sponge if necessary. Results 23 cases successful y retained uterus. Conclusions It is an effective measure to reduce postpartum hemorrhage and uterine resection rate, to improve maternal outcomes with intraoperative bal oon occlusion of bilateral internal iliac artery and postoperative uterine artery embolization with gelatin sponge if necessary.
